Okay, you can call me a pillow snob and a person who suffers from chronic headaches and neck aches. Two of my girlfriends use this pillow so it came highly recommended and it still took me months to order it as I am so tired of spending money on pillows from people's recommendations on what they think is a "great" pillow. I wasn't sure if I wanted to laugh or cry when I actually received this pillow as it looked so ridiculous and so thin compared to what I thought I would like that my initial thought was "there is ABSOLUTELY NO WAY I WILL LIKE THIS PILLOW'! I was prepared to let it sit for a few days to get rid of any chemical smell but there was none. I knew which way to put the pillow and after the first night I though "hmmmm, my neck actually feels good". I figured it must be my imagination or I just had a decent night. I am mainly a side sleeper so I didn't pay much attention to the divot for back sleepers but happened to mention to one of my friends that recommended the pillow how much I was enjoying the pillow but my pillow's divot looked nothing like the photo on Amazon. She laughed and explained to me that I needed to unzip the pillow and remove a piece of foam, which I did and now I am both a back sleeper and a side sleeper with many less headaches and a neck that feels great in the mornings! I have been sleeping with this silly looking pillow for over a month now and my neck feels great for less than the price of one chiropractor visit, less than one Dr. co-pay etc . YES , it's worth it!I am a side sleeper but have recently begun developing pain in my joints every night and migraines at least at least 2x per week, as I have been getting older. I began sleeping on my back to alleviate these symptoms. That worked for a while, but I'd go through pillow after pillow trying to find good neck support, all for them to flatten quickly or be too firm. I had come across this pillow recommendation on Healthline I believe, and decided to give it a try. I didn't think it looked comfortable and I didn't like how some reviews said it stank. I also didn't love spending $40 on a pillow.Anyway, I have been using this pillow for a few weeks now and I have to say, I can't believe how amazing this pillow is!!! I began sleeping on my back with it and instantly, no more headaches or migraines EVER! So after a week or so, I decided I'd take a walk on the wild side and sleep on my side with this pillow AND I CAN SLEEP ON MY SIDE AGAIN!! I don't know how this magic pillow did it, but absolutely 0 neck, back, or hip pain after a night of sleeping on my side! I am so happy, I hated sleeping on my back!The most wonderful bonus I have noticed since using this pillow, is that I haven't had a night yet where I've woken up! I have slept completely through the night every. Single. Night. Since I started using this pillow. I cannot tell you the last time I have slept through the night! Wow! What a pillow!! It has been such a godsend!No the pillow did NOT stink at all.Yes it looks uncomfortable, but it is not. It's everything you need for a good, restful sleep, pain free, and at an affordable price! Buy it, you'll be happy you did!I've purchased a number of pillows recently, and a couple were extremely nice and comfortable. But I always wake up with a sore neck that goes throughout the day. Thus, I started trying out pillows explicitly marketed at fixing this problem.I have to admit I was not expecting much from this one. The design, just in the photos, doesn't seem that special. When I got it, it took me some time to figure out which side to have "up." And the first night I slept on it, it felt too low.But after a couple of nights, I was waking up with no sore neck. I realized the reason it felt so low was my other pillows were quite high, which was causing the bend in my neck all night. Not only is this pillow effective at lining everything up, once I got used to it, this pillow is extremely comfortable. I look forward to sleeping on it now.If you are having neck problems due to your current pillow putting your neck at an unnatural angle during the night, I highly recommend this pillow. It has replaced my $120 pillow.I had neck pain for a while and tried a pillow from a big retailer and didn't work. After getting this pillow I started see a health improvement very quick. For the price in my honest opinion is a good product. It doesn't have arm support if you are that kind of sleeper. I use a CPAP machine and I do not have issues with it.I've only been able to sleep with flat pillows and my heating pad on high since at least 2004 due to a neck injury. My daughter showed me this pillow and I cringed at the thought. She said. Mom, just try it tonight. I did and WOW, I couldn't believe it. I've been using her pillow for 3 days and still the same fantastic result so I bought my own. I've not used a heating pad for 7 days now. I sleep longer and I've seen significant pain relief when I wake. I'll always have pain and now I don't worry about rushing in to have the surgery. I am still amazed, shocked and excited. I recommend anyone with neck/shoulder pain to consider this pillow. You can always return it if it does not work for you. This had been better than everything I've tried. I love this pillow. I told my husband about no heating pad and his comment was "Now that says something". No more burning my neck from the heating pad!I’ve tried about 89 pillows and this one is the one! Guess you have to kiss a lot of frogs before you find your prince!The first two nights I wasn’t sure I liked it because it’s not like a regular pillow. It’s like a firm memory foam kind of feel and it’s shaped that way for a reason. I’m a few nights in and now I lay my head down and it just feels like everything is in the right place. It’s the most comfortable my neck and shoulders have been sleeping in a LONG time.I purchased this because I am tall with a long neck and need good support. On top of that I have sleep apnea. I have struggled with many pillows over the years. This pillow has some of the best reviews so I took a chance and I was pleased! Not as thick as some of the pillows out there. And squeezing the material in my hand I had my doubts about the firmness and support claims, but I tried it out. LOVED IT IMMEDIATELY! I got such a good night sleep! I do not find it overly firm - I find it perfect for me. I would love to see this as a king size variant of this product as it is a bit smaller than I am used to, but otherwise it just works. Love it! Will order again when I need to!I like the pillow. It has some nice design features. Your shoulders fit into the little cut outs so it works for side or for back sleeping. The pillow is a little harder than high end memory foam pillows and weirdly it is less supportive than they are too. My main complaint with it would be that it is kind of a reverse wedge design so the thin part is away from you. Depending on your bed set up, that thin part can slide down between your bed and the wall. That lifts the part that is cradling your neck which is uncomfortable. I’ve had to start sleeping with my feet hanging off the bottom of the bed to keep my pillow from doing that. For me the pillow is a three star but since not everyone would have my issues I rated it four stars.Seems to be good quality. The contours of the pillow do what they're supposed to, and it's quite comfortable.The density and height are spot on.I've been waking up with neck pain for the last little while. Like so bad I can't turn my head and feeling like I had to hunch over because it hurt to straighten my back and neck. I swapped out my pillow for this one yesterday and woke up with no neck pain today. I'm calling it a win.Finally a perfectly comfortable pillow! Right heigh, right shape, right firmness! I’ve wasted lots of cash on what I call my pillow graveyard. Expensive pillows from healthcare providers, several Tempurpedic and down pillows. This pillow fits me better than any other I’ve tried and I’m so happy. My Fitbit confirms I’m sleeping better! Well priced. Highly recommend.Disclosure: this is the only pillow of this kind I have tried; my other experience is with standard pillows only. I've been struggling to find a usable standard pillow for quarter century. Waking up at night, shaking it up, unable to make it feel right. I decided to look for ergonomic pillows. This one looked like it could work for me. Works great, I love it.